Implementation Questionnaire

School Name *

First Name *

Last Name *

Job Title *

Contact E-mail *

Contact Phone *

Will the implementation be for the entire school or targeted students? *

If the implementation is targeted which students will be targeted?

How many students in your school? *

Which subject or subject(s) do the students need help with? *

Is there a specific program you are interested in? *

Does the campus have a designated technology coordinator? *

What is the budget the school has to invest? *

Is the budget tied to any Federal guidelines? *

What is the anticipated time line for implementation/training? *

What is the anticipated first time the students will use the program? *

How often will the students use the program(s)? *

Where will the students access the program(s)? (In the lab, in the back of the classroom, etc.) *

Will the students have access to headphones? *

How will you motivate the hesitant students to use the program with fidelity? *

How many teachers will need to be trained? *

How many students will use the program at one time? *

Who will run the weekly reports for your school? *

How will the weekly reports be passed out? *

What plan of action will be put in motion from the reports? *

Who will do the off-line worksheets with the students? *

The Ware Group